Worksite Assessment Guide (continued) Health/Safety Hazard Survey Describe potential/actual health hazards (i.e., biological, chemical, enviromechanical, physical, psychosocial, etc.) to which workers are exposed, the extent of the exposure and the mechanism for hazards, abatement, and jobs that are high risk. Identify the nursing role in handling these hazards and recommendations for improvement, if any. Use back of this page or additional sheets if needed. _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Developed by Bonnie Rogers Copyright © 1985, Revised 2008 Do not reproduce without permission. 351
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